Name:________________________________________
Street Address:________________________________
City or Town:__________________________________
State:________________________________________
Zip:__________________________________________
Phone___________________________
Email:___________________________


Availability Status: (Optional - we will inform you of all work parties regardless) Weekends only:_____
Weekdays only:_____
Region Preference ( ie: Nash Stream Forest, Dixville Notch area, Coleman State Park area, Pittsburg Trails, etc...)
_________________________________________
Age:
(12-18) _____
(19-35)_____
(36-60)_____
(60-99)_____


Please state any preferences of trail work here: (ie: clipping brush, trail building, bog-bridging, signing, etc...)
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Would you need a place to stay? (The Mountain Bungalow in Pittsburg, NH is for that purpose. All volunteers working on the trail are welcome to stay at The Mountain Bungalow ) Yes__________No____________

Any Comments or Suggestions?
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________


*Send to:
The Cohos Trail Association
PO Box 245
W. Stewartstown, NH 03597

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